Organization
TSP AT HAVEN ON THE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TORI LYNN PAIDE L.AC (OWNER)
(202) 352-5289
Entity
Organization
Contact information
Practice address
10275 LITTLE PATUXENT PKWY, SUITE 102, COLUMBIA, MD 21044-3412
(202) 352-5289
Mailing address
5570 STERRETT PL, #202, COLUMBIA, MD 21044-2641
(202) 352-5289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01486
MD
Other
Enumeration date
03/26/2016
Last updated
03/26/2016
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